US Health CAre System and Lagging Life

HEALTH PARTNERSHIPS DIVISION W W W . H E A L T H . S T A T E . M N . U S / Q I SMART Objectives Good public health practice requires strong objectives in order to monitor progress toward achieving goals and outcomes. Many programs and services are funded by grants that require developing, implementing and completing objectives to prove success for continued funding.

Organizations often struggle to create objectives that accurately measure progress toward a goal and that are meaningful to other team members or stakeholders. A SMART objective is one that is SPECIFIC, MEASURABLE, ACHIEVABLE, RELEVANT AND TIME - BOUND. Why use SMART objectives?  To p rovide a structured approach to developing and designing a work plan.  To s ystematically monitor progress towards a target  To s et the stage for measuring performance and identifying opportunities for improvement  To s uccinctly communicate intended impact and current progress to stakeholders  To c oncretely describes how goals will be met Devoting time and resources early on to intentionally writing SMART objectives is an investment in the future of a plan, program, or service. By starting out with SMART objectives, a program or plan can systematically and meaningfully measure prog ress, show achievements and identify opportunities for improvement. How to Write SMART Obje ctives In order to understand how the parts of SMART objectives flow together, the order of the SMART co mponents listed below will go out of order —SMTRA . This is b ecause the Specific, Measurable and Time -Bound parts are clearly visible in the standard written format for objectives. The Achievable and Relevant pieces are more abstract and require reflection. Each of these parts wil l include an example objective tha t will be re -written to be SMART. SMART objectives should:  Include all components of SMART  Relate to a single result  Be clearly written Specific Objectives should be well -defined, and clear to other team members and to stakeholders who also understand the program or plan. Consider these prompts: What :

 What exactly will you do?  What is the action?  What do you intend to impact? Contents Specific Measurable Time -Bound Achievable Relevant Different Ways to Write SMART Objectives Additional Examples of SMART -er Objectives Further Resources, Courses, and Training M I N N E S O T A D E P A R T M E N T O F H E A L T H PU B L I C H E A L T H & Q I T O O L B O X | S M A R T O B J E C T I V E S M D H H E A L T H P A R T N E R S H I P S D I V I S I O N 2 R E V I S E D A U G U S T 2 0 1 6 Who :

 Who is responsible for carrying out the action?  What are you intending to impact or who is your targ et population? Note that not all of these questions will apply to every objective. Example Objective Original Objective How Can We Fix? SMART -er Objective Staff will be tr ained in Quality Improvement. We need to clarify the WHO and WHAT to make this objective “smarter.” USA County management will offer Quality Improvement training opportunities to staff . Measurable This involves selecting what will be measured to show improvement, impact or success. There may be existing measures and targets that are required for a specific program or grant. Try to pick a measure that is meaningful. The easiest things to measure may not be the most meaningful. Consider these prompts:  How much and in what direction will the change occur?  What data will be used to prove the target is met?  Where will this data come from?  Is there a stand -in or proxy measure to use if this objective cannot be directly measured, or is there another measure that would be more appropriate to use instead? Key Te rms Measure : Show success or impact over time. It is the number, percent or some standard unit to express how you are doing at achieving the goal or outcome. Target : The desired level of performance you want to see that represents success. Example Obj ective Original Objective How Can We Fix? SMART -er Objective USA County management will offer Quality Improvement trai ning opportunities to staff. We need to clarify the MEASURE and TARGET to make this objective “smarter.” USA County management will offer Quality Improvement training opportunities resulting in 75% of staff completing Quality Improvement 101 . M I N N E S O T A D E P A R T M E N T O F H E A L T H PU B L I C H E A L T H & Q I T O O L B O X | S M A R T O B J E C T I V E S M D H H E A L T H P A R T N E R S H I P S D I V I S I O N 3 R E V I S E D A U G U S T 2 0 1 6 Time -Bound Objectives should be achievable within a specific time frame that isn't so soon as to prevent success, or so far away as to e ncourage procrastination. Consider these prompts:  When will this objective be achieved?  Is this time -frame realistic?  Should it b e closer or further in the future? Example Objective Original Objective How Can We Fix? SMART -er Objective USA County management will offer Quality Improvement training opportunities resulting in 75% of staff comple ting Quality Improvement 101. We need to clarify the TIME to make this objective “smarter.” USA County management will offer Quality Improvement training opportunities resulting in 75% of staff completing Quality Improvement 101 by December 31, 2019 . Achievable Objectives should be within reach for your team or program, considering available resources, knowledge and time. Consider these prompts:  How can this objective be accomplished?  Given the current time frame or environment, can this objective be achieved? Should we scale it up or down?  What resources will help us achieve this objective? What limitations or constraints stand in our way? Example Objective SMART -er Objective How Can We Fix? USA County management will offer Quality Improvement training opportunities resulting in 75% of staff completing Quality Improvement 101 by December 31, 2019. To clarify achievability, it may be helpful for management to explain who is conducting the training, identify any related costs in the budget and consider whether it is possible to complete in the time frame. Relevant Objectives should align with a corresponding goal. Consider if and how successfully completing an objective will be relevant to achieving the goal. Consider if an objective relates to the larger program, plan or organization’s mission, vision and goals. It should also be considered whether an objective is relevant or important to the team and other st akeholders. Objectives related to your organization's mission and guiding principles are more likely to be approved by your organizational leadership; objectives su pported by other stakeholders will lead to a greater level of buy -in. M I N N E S O T A D E P A R T M E N T O F H E A L T H PU B L I C H E A L T H & Q I T O O L B O X | S M A R T O B J E C T I V E S M D H H E A L T H P A R T N E R S H I P S D I V I S I O N 4 R E V I S E D A U G U S T 2 0 1 6 Consider these prom pts:  Will this objective lead to achieving this organization's goals?  Does it seem worthwhile to measure this objective? Does it seem reasonable to measure this objective? Example Objective SMART -er Objective How Can We Fix? USA County management will offer Quality Improvement training opportunities resulting in 75% of staff completing Quality Improvement 101 by December 31, 2019. To clarify relevance, it may be helpful to think about how many staff have already completed t he training, if any. If there has already been a high number of staff who have completed this training, maybe they should be offered a higher level training or re -write the objective to include attending any QI training. Different Ways to Write SMART Objectives There are multiple approaches and ways to explain how to write SMART objectives. Here are some other sentence structures fo r objectives: [Who ] will do [ what ] resulting in [ measure ] by [ when ]. By [ when ], [ who ] will do [ what ] resulting in [ mea sure ]. By [ when ], [ measure - includes who and what ]. [Measure – includes who and what ] by [ when ]. Additional Examples of SMART -er Objectives Original Objective SMART -er Objective Reduce obesity rates for children and adolescents. By December 31, 2019, reduce the percent of 9th graders in Awesome County who are obese from 8% baseline to 7%. Meet with colleges to inform them about tobacco -free grounds. Public Health Staff will meet with key stakeholders at all colleges in our jurisdiction resulting in 3 out of 4 colleges committing to work on tobacco free grounds policies by June 2016. Use technology to increase department communications. Communications and IT staff will pilot and evaluate two new communication technologies targeted to external customers resulting in a 25% increase in traffic to the Community Family Health webpage by December, 2016. Further Resources , Courses, and Training For updated resources and more on this topic, visit: Public Health & QI Toolbox: SMART Objectives .